| NPI | 1447563564 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113790) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 7136) | 
| Enumeration Date | 2010-07-18 | 
| Last Update Date | 2014-02-10 |